Individual
MISSY MICHELLE EAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2400 OSLER CT, ALBANY, GA 31707
(229) 883-1503
Mailing address
2400 OSLER CT, ALBANY, GA 31707-0205
(229) 883-1503
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN113560
GA
Other
Enumeration date
08/05/2007
Last updated
08/21/2018
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